Provider Demographics
NPI:1790097731
Name:WALKER, THUNYA T (OD)
Entity Type:Individual
Prefix:DR
First Name:THUNYA
Middle Name:T
Last Name:WALKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:THUNYA
Other - Middle Name:T
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3230 EASTLAKE AVE E
Mailing Address - Street 2:APT 401
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3814
Mailing Address - Country:US
Mailing Address - Phone:727-793-8766
Mailing Address - Fax:
Practice Address - Street 1:2121 TERRY AVE STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-2765
Practice Address - Country:US
Practice Address - Phone:206-467-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-07
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2923152W00000X
WAOD60628780152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist